You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services.
Number | Document Name | Effective Date |
---|---|---|
DDD-1622A | Home Modification Requests Support Coordinator’s (SC) Checklist (English) | 05/01/2023 |
FAA-0065A | Verification of Living Arrangements/Residential Address (English) | 05/01/2023 |
FAA-1004A-SXLP | Designation of EBT Alternate Card Holder - Extra Large Print (Spanish) | 05/01/2023 |
FAA-0574A-S | Retirar o Suspender Beneficios/Solicitud de Apelación | 05/01/2023 |
FAA-0065A-SLP | Verification of Living Arrangements/Residential Address - Large Print (Spanish) | 05/01/2023 |
FAA-0065A-SXLP | Verification of Living Arrangements/Residential Address - Extra Large Print (Spanish) | 05/01/2023 |
FAA-1506A | Statement of No Income (English) | 05/01/2023 |
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
FAA-0574A-LP | Withdrawal or Stop Benefits/Appeal Request (Large Print) | 05/01/2023 |
GCI-1041A-S | Consentimiento para el Uso del Seguro de Salud | 05/01/2023 |
Number | Document Name | Effective Date |
---|---|---|
GCI-1051A-S | Follow-Up Letter (Spanish) | 08/01/2020 |
GCI-1059A | Unable to Process Letter | 08/01/2020 |
GCI-1059AS | Carta de No poder hacer el trámite | 08/01/2020 |
CCA-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
J-020-LP | Discrimination Complaint - Clients, Applicants and Contractors - Large Print (English) | 08/01/2020 |
CCA-1269A | Sworn Statement by the Registered Family Child Care (FCC) Provider | 08/01/2020 |
GCI-1083A | Consent for Child Assessment | 08/01/2020 |
CCA-0229A-FY21 | Child Care Assistance Gross Monthly Income Eligibility Chart And Fee Schedule FY 2021 (English/Spanish) | 07/01/2020 |
J-930-A | Request for Modification/Accomodation to Participate in A Program, Service, or Activity (Confidential) (English) | 07/01/2020 |
GCI-1042A | Family Survey | 07/01/2020 |
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